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NPI 1861599409

NPI 1861599409 : NELSIE ENEIDA WALKER LMHC,CAP,DOT/SAP : BRADENTON, FL

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General NPI Number Information
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    NPI Number           |    1861599409
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    Entity Type          |    Individual 
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    Provider Name        |    NELSIE ENEIDA WALKER LMHC,CAP,DOT/SAP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/17/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3633 CORTEZ RD W STEPPING STONE CLINIC (STE A-9)
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34210-3119
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    Country              |    US
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    Telephone            |    941-812-3977
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5726 CORTEZ RD W #260
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34210-2701
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    Country              |    US
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    Telephone            |    941-812-3977
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    1489
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    0003538
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    License Number State |    FL
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